Provider Demographics
NPI:1164653796
Name:A & V COLLECTIONS, LLC
Entity Type:Organization
Organization Name:A & V COLLECTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:YENDRYS
Authorized Official - Middle Name:RAFAELA
Authorized Official - Last Name:MOJENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-369-5329
Mailing Address - Street 1:903 E 9TH ST
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33972-2906
Mailing Address - Country:US
Mailing Address - Phone:239-369-5329
Mailing Address - Fax:
Practice Address - Street 1:903 E 9TH ST
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33972-2906
Practice Address - Country:US
Practice Address - Phone:239-369-5329
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-30
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization